Wall, Antoinette Wilkes

Wall, Antoinette Wilkes is an sole proprietor health care provider with primary practice located at #7 Glenn Bridge Rd Ste D, Arden NC 28704-3333. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wall, Antoinette Wilkes can be contacted via phone (828) 684-3949.

Contact Information

Primary practice address
#7 Glenn Bridge Rd Ste D Arden NC 28704-3333
Fax: (828) 684-2330
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20857 North Carolina

Profile Details

NPI number 1871544791
LBN Legal business name Wall, Antoinette Wilkes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2006
Last updated Jul 20th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871544791 NPPES
North Carolina MEDICAID 8985383
North Carolina Other 85383

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